Hoorbano Khan, Debajyoti Tapadar, Debjani Sengupta
BACKGROUND Removal of uterus for benign conditions has got 2 options presently worldwide namely TAH and TLH. The pros and cons of utilizing either of the procedures are debated worldwide with newer studies coming up advocating the superiority of each procedure. The present study aims at comparing the two modalities on various aspects with referable outcomes. This study was conducted in a tertiary level healthcare facility where a comparison was made between two modes of hysterectomy namely abdominal and laparoscopic in benign cases requiring removal of uterus and adnexa to find out the benefits of procedures with regard to various parameters like time of operation, time of recovery, blood loss etc. MATERIALS AND METHODS An open label comparative study done to compare functional and clinical outcome in TAH and TLH for benign diseases in patients with uterine weight less than 500 gms. among all eligible patients for hysterectomy for a duration of 6 months. For each patient for TLH the next eligible consenting patient was opted for TAH. 25 patients were opted for each arm. RESULTS Operative time was marginally longer for TLH than for TAH; however, estimated volume of blood loss & length of hospital stay, were significantly less for patients in the TLH group than for those in the TAH group. Mean post-operative haemoglobin drop was less in TLH group and Mean VAS (Visual Analogue Scale) score for pain postoperatively for TLH group was significantly less for first 3 post-operative days. TLH appears to offer benefits to women requiring total hysterectomy for benign indications compared to TAH, particularly regarding blood loss, hospital stay and early resumption of work. CONCLUSION Total laparoscopic hysterectomy may be preferable to abdominal hysterectomy considering it offers early discharge and resumption of normal life along with factors such as less blood loss and less post-operative pain.
